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Hippiatrika > Week 6: Surgical Instrumentation > Flashcards

Week 6: Surgical Instrumentation Flashcards

1
Q

name the parts of the surgical instrument

A
  • jaws
  • jaw insert
  • joint
  • shank
  • ring
  • ratchet
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2
Q

what are the crushing tissue forceps

A
  • babcock tissue forceps
  • allis tissue forceps
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3
Q

what are the non-crushing tissue forceps

A

doyen intestinal forceps

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4
Q

what are hemostatic forceps

A
  • rochester carmalt forceps
  • kelly hemostatic forceps
  • halsted mosquito forceps
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5
Q
A

allis tissue forceps
* grasp tissue
* only used on tissue to be discarded
* used to position suction tubing and electrocautery wire

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6
Q
A

**babcock tissue forceps **
* grap tissue
* can crush but less than allis
* helping to grasp and retract robust sodt tissues (stomach, bladder)

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7
Q
A

**straight doyen intestinal tissue forceps **
* longitudinally oriented grooves
* intestinal lumen occlusion (enterotomies, resection, and anastomosis)

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8
Q
A

**straight rochester-carmalt hemostatic forceps **
* jaw clamping
* claming pedicles/tissue
* longitudinally proented serrations with cross-hatched tips
* straight or curved

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9
Q
A

straight and curved kelly hemostatic forceps
* transversely oriented serrations
* serrations only go halfway
* tip clamping of small to medium vessels
* smaller than rochester-carmalt, bigger than halstead-mosquito

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10
Q
A

straight and curved halsted mosquito hemostatic forceps
* transversely oriented serrations - go entire length
* tip clamping of small vessels

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11
Q

what are the types of thumb forceps

A
  • brown-adson
  • adson
  • DeBakey
  • Bishop-Harmon
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12
Q
A

Brown Adson Tissue Forceps
* fine teeth in two parallel rows
* general tissue handling but serrated teeth can crush tissue

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13
Q
A

Adson tissue forceps
* fine teeth (2x1)
* less crush injury than brown-adson
* poor grip of fat or other friable tissues

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14
Q
A

DeBakey tissue forceps
* parallel ribbed tips
* most frequently used thumb forceps in soft tissue surgery
* less traumatic than brown-adson thumb forceps

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15
Q
A

Bishop-Harmon Forceps
* fine teeth (2x1) at right angle
* smaller than other thumb forceps
* grasp tissue in opthalmologic surgery

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16
Q
A

**Bard-Parker Number 3 Scalpel Handle **
* most commonly utilized
* accepts #10, 11, 12, 15
* ribbed grip area
* may have measurement scale

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17
Q

what are the types of surgical scissors

A
  • mayo
  • metzenbaum
  • stevens tenotomy
  • spencer stitch
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18
Q
A

**straight mayo dissecting scissors **
* plain edge
* thick blades
* incise dense tissue (fascia, linae alba, trimming skin)
* straight (mechanical advantage)
* curved (improved visualization)

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19
Q
A

straight metzenbaum scissors
* plain edge
* thin, delicate blades
* incise soft tissues
* straight or curved

20
Q
A

stevens tenotomy scissors
* narrow, delicate
* precision cutting, ophthalmic and urologic surgery
* straight or curved

21
Q
A

spencer stitch scissors
* hooked tip
* post-op suture removal

22
Q

what are the types of needle holders

A
  • mayo-hegar
  • olsen-hegar
  • castroviejo
  • derf
23
Q
A

mayo-hegar needle holders
* textured tungsten-carbide jaw inserts provide intermediate needle holding security
* limits twisting and rotation

24
Q
A

olsen-hegar needle holders
* combined needle driver/scissor
* textured tungsten-carbide jaw inserts

25
Q

what are the types of self-retaining retractors

A
  • balfour
  • finochietto
  • gelpi
  • weitlaner
26
Q

what are the types of hand-held retractors

A
  • army-navy
  • malleable
  • hohmann
  • senn
  • snook hook/spay hook
27
Q
A

**balfour retractor **
* blunt blades used to retract abdoinal wall laterally
* central bladder blade retract rib cage cranially

28
Q
A

**finochietto retractor **
* adjustable rib retractor
* retraction of chest wall during intercostal thoracotomy and median sternotomy
* flat retractor blades are perpendicular

29
Q
A

**gelpi retractor **
* ring retractor with self-retaining ratchet
* retraction of soft tissues (muscle bellies during orthopedic or spinal surgery)

30
Q
A

** weitlaner retractor **
* ringed retractor with self-retaining ratchet
* multiple pointed prongs on each arm
* retraction of soft tissue in small, superficial incision

31
Q
A

**army-navy retractor **
* double ended blunt
* hand held used by assistant
* soft tissue and orthopedic

32
Q
A

**malleable retractor **
* double ended blunt retractor
* bent at various angles
* retracting viscera in abdominal and thoracic surgery

33
Q
A

**hohmann retractor **
* various sizes with variety of tip lengths and styles
* lever muscle and soft tissues away from surgical field and bone during orthopedic

34
Q
A

senn retractor
* double ended - blunt or sharp fork and right angle on other
* soft tissue and orthopedic surgery
* hand held by assistant

35
Q
A

spay hook
* flat, thin handle
* hook uterine horn

36
Q

what are the types of orthopedic instruments

A
  • jacobs chuck
  • mallet
  • osteotome and chisel
  • periosteal elevator
  • freer periosteal elevator
  • rongeurs
37
Q
A

jacobs chuck
* drive IM pins and K-wires during orthopedic surgeyr
* key used to tighten or release pin grip
* attachment to protect hand from pin penetration

38
Q
A

mallet
* metal or nylon
* orthopedic surgery to advance osteotome or chisel

39
Q
A

osteotome and chisel
* osteotome - beleveled on both sides
* chisel - beveled on one side
* create osteotomy in orthopedic procedures

40
Q
A

**periosteal elevator **
* reflect muscle and soft tissue from bone

41
Q
A

**freer periosteal elevator **
* small periosteal elevator
* double ended
* standard in every ortho pack

42
Q
A

**lempert rongeur **
* forceps with cupped jaws and blunted or tapered tips
* remove small fragments of bone, recontour bone or prepare bone for grafting
* straight curved or angled

43
Q
A

backhaus towel clamp
* hold quater drapes or huck towels securely

44
Q
A

poole suction tip
* attaches to suction hose
* suction large amounts of fluid
* inner cannula unscrews and can be used as modified frazier suction tip

45
Q
A

frazier suction tip
* tine tipped
* removal of small amounts of fluid
* orthopedic and neurologic surgery
* covering hole on top creates stronger negative pressure
* can clog easily

Hippiatrika (3 decks)

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